Charitable Giving Challenge

You are about to challenge experience #11016.
Please provide the following information:
* = Required Field

*$50 Donation:	Donate my $50 fee to...
*First Name:
*Last Name:
*Country Code:
*Phone:
*eMail:
*Reason:

Challenge Terms & Conditions:
There will be a $50 fee which will be donated to the Nonprofit Charity of your choice, plus a $10 processing fee. The Rating you received will be immediately removed for the posted Experience and members will no longer be able to rate or share.
I agree to the Challenge Terms & Conditions

This is a staging environment for testing purposes — no orders shall be fulfilled.